Support Services for Adults with Developmental ... - DHS home

(ii) As an emergency measure, but only if absolutely
necessary to protect the individual or others from
immediate injury; or
(iii) As a health-related protection prescribed by a
physician, but only if necessary for individual protection
during the time that a medical condition exists.
(B) Provider organization staff members who need to apply
restraint under an individual's service agreement must be
trained by a SPD-approved trainer and documentation of the
training must be maintained in the staff members' personnel
file.
(C) Physical restraints in emergency situations must:
(i) Be only used until the individual is no longer a threat to
self or others;
(ii) Be authorized by the provider organization director or
the individual's physician;
(iii) Be authorized within one hour of application of
restraint;
(iv) Result in the immediate notification of the individual's
legal representative; and
(v) Prompt a review of the written service agreement,
initiated by the provider organization, if used more than
three times in a six month period.
(D) Physical restraint must be designed to avoid physical injury
to the individual or others and to minimize physical and
psychological discomfort.
(E) All use of physical restraint must be documented and
reported according to procedures described in OAR 411-340-
0040. The report must include:
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